borang nr/r/ps1 - lampiran1.hasil.gov.mylampiran1.hasil.gov.my/pdf/pdfborang/nr_r_ps1.pdf ·...
TRANSCRIPT
NR/R/PS1/Pin.Rev.1/2011
Baru New
Lanjutan Extension
LEMBAGA HASIL DALAM NEGERI MALAYSIAINLAND REVENUE BOARD OF MALAYSIA
PELAWAT SEMENTARA – PAS LAWATAN PROFESIONALFOREIGN VISITORS – PROFESSIONAL VISIT PASS
A. MAKLUMAT PELAWAT SEMENTARA / DETAIL OF FOREIGN VISITORS
A1. Nama penuh seperti dalam pasport: A2. Warganegara:Full Name as in passport: Citizenship:Mr./Mrs./Ms................................................................................... ..……..........................................................
DD MM YYYYA3. No. pasport: A4. Tarikh Lahir:
Passport No.: Date of Birth:
A5. No. Fail Cukai Pendapatan Malaysia, jika ada: SG/OGIncome Tax File No., if any:
A6. Alamat Address:............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
DD MM YYYY DD MM YYYYA7. Tempoh lawatan:
Duration of stay:
A8. Tujuan lawatan:Purpose of stay:............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
B. MAKLUMAT KONTRAK / CONTRACT DETAILSDD MM YYYY DD MM YYYY
B1. Tempoh kontrak: dari fromDuration of contract:
B2. Nilai kontrak: RM ................................contract value:
B3. Manfaat berbentuk barangan:Benefit in kind:
Nilai tempat kediaman: @ RM ............................ X ............................ hari = RM ................................Value of accommodation: dayNilai tiket kapal terbang / pengangkutan: RM ................................Value of airfare/transport:Nilai makanan: @ RM ............................ X ............................ hari = RM ................................Value of food: dayNilai manfaat-manfaat lain yang disediakan, nyatakan jenis manfaat:Value of other benefits in kind provided, state the type of such service or facility:.............................................................................................................................................................................................................................................................................................. RM ................................
JUMLAH TOTAL RM ...............................
4. Nyatakan nama dan alamat individu/syarikat yang berhak menerima bayaran (B2),jika, lain dari penama di atas (A1):State name and address of the individual / company who is entitled to the contract payment (B2),if, other than the above named person (A1):
.......................................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
No. Fail cukai pendapatan Malaysia, jika ada:Income Tax File No., if any:
Sila lihat sebelah [PTO]
BORANG NR/R/PS1
dari from hingga to
hingga to
C. PERAKUAN / DECLARATION
Saya .......................................................................................No. Kad Pengenalan ..............................................I NRIC No:penganjur kepada penama di atas dengan ini mengaku bahawa butiran di atas adalah benar dan lengkap.Sponsor for the above named person, do hereby declare that the particulars given above are true and complete.
.........................................................................................Tandatangan Penganjur:Sponsor's Signature:
.........................................................................................Jawatan:Designation:
Tarikh: ....................................................................Date:
No. Fail Majikan:Employer's File No:# [ Jika tiada , sila mendaftar di pejabat LHDNM yang berhampiran ]
[ If not available, please register with the nearest LHDNM office ]
COP PENGANJURSPONSOR STAMP
E
Kembalikan:Return to:
Pengarah,Lembaga Hasil Dalam Negeri Malaysia,Cawangan Tidak Bermastautin,Unit Profiling dan Khidmat PelangganTingkat 3(Kanan), Blok 8 Kompleks BangunanKerajaan, Jalan Tuanku Abdul Halim,50600 KUALA LUMPUR
Director,Inland Revenue Board of Malaysia,Non Resident Branch,Profiling and Customer Services Unit,3rd Floor (Right), Block 8 Government BuildingComplex, Jalan Tuanku Abdul Halim50600 KUALA LUMPUR.
Hubungi talian ini untuk keterangan lanjut:Contact these numbers for further assistance:
No. Telefon Am : 03-6209 1000General Lines
Samb / Ext. : 121762/121646/121639
Faks / Fax : 03-6201 2417
emel / e.Mail : [email protected]
"BERSAMA MEMBANGUN NEGARA"Laman Web Lembaga Hasil Dalam Negeri Malaysia : //www.hasil.gov.my
Borang NR/R/PS1 boleh dimuat turun di laman web ini
Kemukakan salinan dokumen-dokumen berikut:Furnish copies of the following documents:
Surat PermohonanWritten applicationKontrak/surat tawaran dan penerimaan atau lain-laindokumen yang berkenaan.Contract/letter of offer and acceptance or other relevantdocuments.Kontrak antara syarikat tempatan dan asing, jikaberkenaan;Contract between local and foreign company, where relevant.Salinan risalah seminar/kursus bagi kes penceramahseminar/kursus latihan.Copy of the seminar brochure for seminar/training courselectures.Kes penggajian:Employment cases:
Surat pengesahan dari majikan negara asal;Letter of confirmation from the employer of the countryorigin;Butir-butir saran dan gaji yang diterima dari negaraState the details of remuneration and emolument receivedfrom home country
Salinan Pasport;Copy of passport;Lampiran A, jika lebih dari lima pelawatAppendix A, if more than five visitor'sSurat kuasa, jika permohonan melalui wakilLetter of authorization, if application is done by agent